PROVIDENT ARC LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1285957761Organization

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

954(VA)

Contact & Hours

Address: 17300 RIVER RIDGE BLVD, SUITE 301
WOODBRIDGE, VA 22191
Phone: (703) 861-4409

Quick Facts

NPI: 1285957761
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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